Neuronal Nitric Oxide Synthase Suppression Confers the Prolonged Analgesic Effect of Sciatic Nerve Block With Perineural Dexamethasone in Postoperative Pain Model Mice

• 資料種別: 博士論文
• タイトル: Neuronal Nitric Oxide Synthase Suppression Confers the Prolonged Analgesic Effect of Sciatic Nerve Block With Perineural Dexamethasone in Postoperative Pain Model Mice
• 著者・編者: Matsuda, Keiichiro
• 著者標目: Matsuda, Keiichiro
• 出版年月日等: 2022-09-20
• 出版年（W3CDTF）: 2022-09-20
• 並列タイトル等: 術後疼痛モデルマウスにおけるデキサメタゾン添加坐骨神経ブロックの鎮痛効果の延長は神経型一酸化窒素合成酵素の抑制によりもたらされる
• 授与機関名: 新潟大学
• 授与年月日: 2022-09-20
• 授与年月日（W3CDTF）: 2022-09-20
• 報告番号: 甲第5075号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 著者別名: 松田, 敬一郎
• 件名標目: Dexamethasone; local anesthetic; nitric oxide synthase; prolonged analgesic effect; nerve block
• 対象利用者: 一般
• 一般注記: Abstract: Dexamethasone supplementation to local anesthetics prolongs its action, yet the underlying mechanism is unclear. Previous studies have reported that increased p-p38 mitogen-activated protein kinase (MAPK) in the dorsal root ganglia (DRG) is associated with pain-associated behavior and that nitric oxide (NO), which is known to be a pronociceptive substance, directly inhibits sciatic nerve conduction. Here, we investigated the temporal changes in the hyperalgesic effect and p-p38 MAPK and NO synthase (NOS) expression levels in the DRG when dexamethasone was added to ropivacaine used for a sciatic nerve block (SNB) in postoperative pain model mice. Dexamethasone supplementation to ropivacaine significantly prolonged the analgesic effect of SNB via glucocorticoid receptor activation. Histological examination revealed that ropivacaine suppressed p-p38 MAPK expression in the DRG regardless of dexamethasone supplementation, suggesting that p-p38 MAPK was not involved in the prolonging effect of dexamethasone on nerve block. Contrastingly, plantar incision markedly increased the expression of neuronal NOS (nNOS) in DRG, and dexamethasone supplementation to ropivacaine significantly suppressed nNOS expression. Supplementation of L-NAME, an inhibitor of NOS, to ropivacaine markedly prolonged the effect of SNB, similar to dexamethasone. These results suggest that dexamethasone supplementation to local anesthetics prolongs the analgesic effect by inhibiting nNOS activity. Perspective: The current study revealed that dexamethasone supplementation to local anesthetics prolongs the analgesic effect by inhibiting the activity of neuronal NOS and that p-p38 MAPK may not be involved in this phenomenon. Our findings offer a new target for the discovery of long-acting local anesthetics.; The Journal of Pain. 2022, 23(10), 1765-1778.; 新大院博(医)第1088号
• 国立国会図書館永続的識別子: info:ndljp/pid/12864334; https://dl.ndl.go.jp/pid/12864334
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2023-05-05T22:12:36+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10191/0002000967; https://niigata-u.repo.nii.ac.jp/records/2000967
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp